| NPI | 1912129859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M. DUNN Optometric Physician 870-673-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AR 2233) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-04-08 |